| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $682.50 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $2,263.17 | $2,641.80 | $3,598.86 | |
Health Alliance Plan
| Facility | $546.61 | $2,877.00 | $4,933.00 | |
United
| Facility | $2,524.00 | $5,819.00 | $8,339.00 |